Individual
AVERIANA DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0201
Mailing address
6 VINE ST, SPENCER, MA 01562-2028
(774) 275-8251
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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